COYOTE HILL CAMP REGISTRATION & DEPOSIT FORM

Please print and return to Coyote Hill Mountain Bike Camp, PO Box 212, Bradford, VT 05033 with $200 deposit.

Camper's name:

Camper's age and self-identified gender:

Camper's address:

Parent/guardian's name:

Parent/guardian's address (if different from campers's):

Telephone number:

e-mail:

Camp type (circle one):     Day         Overnight         Adult         Mechanic         Alum

Camp session date required:

Parent/guardian remarks: